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2025 ICD-10-CM code N30.01

Acute cystitis with hematuria.

Use additional code to identify infectious agent (B95-B97)

Medical necessity for N30.01 is established by the signs, symptoms, and laboratory findings consistent with acute cystitis and the presence of blood in the urine. It is essential to document the clinical indicators and the rationale for the diagnosis to support the medical necessity of treatment and procedures.

Diagnosis and treatment of acute cystitis with hematuria fall under the purview of primary care physicians, family medicine practitioners, internists, urologists, and other healthcare professionals specializing in genitourinary conditions. The physician is responsible for evaluating the patient's symptoms, conducting necessary diagnostic tests, such as urinalysis and urine culture, to confirm the presence of infection and hematuria, and prescribing appropriate treatment, which may include antibiotics, pain relievers, and increased fluid intake.

In simple words: This code represents a bladder infection with blood in the urine.

Acute cystitis with hematuria is a condition characterized by inflammation of the urinary bladder, accompanied by the presence of blood in the urine.

Example 1: A 25-year-old female presents with dysuria, urinary frequency, and urgency. Urinalysis reveals the presence of red blood cells, confirming the diagnosis of acute cystitis with hematuria. The physician prescribes a course of antibiotics and advises the patient to increase fluid intake., A 40-year-old male experiences sudden onset of lower abdominal pain, accompanied by painful urination and blood in the urine. A urine culture confirms a bacterial infection, leading to the diagnosis of acute cystitis with hematuria. The patient is treated with antibiotics and pain management., A 65-year-old female with a history of recurrent urinary tract infections presents with suprapubic pain, hematuria, and a positive urine culture. She is diagnosed with acute cystitis with hematuria and prescribed appropriate antibiotic therapy.

Documentation for N30.01 should include:1. Patient's reported symptoms, such as dysuria, frequency, urgency, and suprapubic pain.2. Urinalysis results, showing the presence of red blood cells (hematuria) along with other indicators of infection like white blood cells, bacteria, or nitrites. 3. Urine culture and sensitivity report to identify the causative organism and guide antibiotic selection.4. Any associated signs or symptoms, like fever, flank pain (if kidney involvement is suspected), or pelvic pain.5. Past medical history, including any history of UTIs, kidney stones, or other relevant conditions.

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